Abstract

Objective To identify the demographic, environmental, economic, functional, and health characteristics and the lifestyle habits of elderly persons considering their degree of institutionalization. Method A cross-sectional observational study was carried out of individuals in long-term care institutions for the elderly (resident group) in João Pessoa in the state of Paraíba, those on the waiting list (waiting list group) for such institutions, and those who did not demonstrate interest in being institutionalized (non-waiting list group). Fifty elderly persons per group were interviewed, paired by sex, age and education level. Results The non-waiting list group had a higher proportion of married individuals (p<0.0001), mean number of children (p=0.0068), number of homeowners (p=0.0060) and less difficulty going out, with a higher frequency of activities. The waiting list group presented a higher proportion of individuals living alone (p=0.0089), and a lower frequency and more difficulty going out. There was no significant difference in the functional capacity of the three groups (p=0.2019). Conclusion There were differences among the three groups; however, the waiting list group had much more similar characteristics to the resident group than the non-waiting list group. Elderly persons on waiting lists to be institutionalized represent a neglected social group both in terms of research and public policies.

Highlights

  • The process of demographic transition brings with it considerable changes in the health profile of elderly persons, with greater numbers living with chronic diseases and functional incapacity

  • In Brazil, the terms asylum, shelter, nursing home and similar have been replaced with the term Instituição de Longa Permanência para Idosos, or Long-term Care Institutions for the Elderly (LTCIE), an expression adopted by the Sociedade Brasileira de Geriatria e Gerontologia (SBGG)

  • 2010 to December 2012; and for the non-waiting list group, not being part of such a waiting list and not showing any interest in taking up residence in an LTCIE

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Summary

Introduction

The process of demographic transition brings with it considerable changes in the health profile of elderly persons, with greater numbers living with chronic diseases and functional incapacity. This results in higher levels of vulnerability and dependence and increasing demands on caregivers at the same as the number of family members available to perform this work declines. Among the alternatives for non-familial care of the elderly, the oldest and best known are nursing homes. In Brazil, the terms asylum, shelter, nursing home and similar have been replaced with the term Instituição de Longa Permanência para Idosos, or Long-term Care Institutions for the Elderly (LTCIE), an expression adopted by the Sociedade Brasileira de Geriatria e Gerontologia (the Brazilian Society of Geriatrics and Gerontology) (SBGG)

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